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Smoking cessation post-discharge following nicotine replacement therapy use during an inpatient admission.
MedLine Citation:
PMID:  21299782     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Cigarette smoking remains a health issue despite declining prevalence in Australia. The burden of tobacco related morbidity affects hospitals, particularly those in lower socioeconomic areas where prevalence is highest. We have shown that NRT use during hospitalisation increases motivation to quit post-discharge. We postulated that subjects using the nicotine patch post-discharge, in comparison to the inhaler, would have higher rates of abstinence at 12 months after discharge. Aims: To compare the efficacy of the nicotine patch or inhaler formulation for cessation post-discharge, following use during admission. Methods: Post-discharge, subjects chose their preferred formulation (patch or inhaler) based on their experience with NRT during admission. Tailored, medium intensity support was provided with subsidised NRT during outpatient visits. Subjects were followed for 12 months. Exhaled breath CO confirmed non-smoking. Results: Of 123 subjects enrolled, 37 elected to use the inhaler, 50 the patch and 36 no NRT. At 12 months continuous abstinence rates were 38%, 38% and 25% respectively. Discussion: This study built upon the 'teachable moment' provided by hospitalisation and the inpatient use of NRT, encouraging cessation post-discharge. Both NRT formulations provided similar 12 month cessation rates, and were superior to those achieved by subjects electing not to use NRT. Although the patch was the most popular formulation, the inhaler provided an equally efficacious alternative which addressed other facets of cigarette addiction. Subjects electing not to use NRT were less successful. Continuous abstinence rates were equivalent to community based studies using NRT. We recommend a similar program to other hospitals.
Authors:
Jerneen H Williams; Terry E Jones
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-8
Journal Detail:
Title:  Internal medicine journal     Volume:  -     ISSN:  1445-5994     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Sydney South West Area Health Service. Journal compilation © 2011 Royal Australasian College of Physicians.
Affiliation:
The Queen Elizabeth Hospital Level 8 Ward C, 28 Woodville Road Woodville South, South Australia, 5011 Ph: +61 (0)8 8222 6410 Fax: +61 (0)8 8222 7486 Jerneen.williams@health.sa.gov.au The Queen Elizabeth Hospital Pharmacy Department Level 2, 28 Woodville Road Woodville South, South Australia, 5011 Ph: +61 (0)8 8222 6694 terry.jones@health.sa.gov.au.
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